Individual provider · Type 1 NPI

Pamela Michelle Mattox, MS.ED

Developmental Therapist · Morehead, KY

NPI number 1104034677 Active

Practice location

375 Hazel Tree Ln
Morehead, KY 40351-7737

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1104034677

Pamela Michelle Mattox, MS.ED's National Provider Identifier is 1104034677, issued on May 18, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Morehead, KY. The record was last updated on Mar 31, 2014.